Healthcare Provider Details

I. General information

NPI: 1649260746
Provider Name (Legal Business Name): ROBERT M SCHWARCZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 10/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 EAST 79 STREET
NEW YORK NY
10075-0276
US

IV. Provider business mailing address

50 EAST 79 STREET
NEW YORK NY
10075-0276
US

V. Phone/Fax

Practice location:
  • Phone: 212-396-4400
  • Fax: 212-517-2828
Mailing address:
  • Phone: 212-396-4400
  • Fax: 212-517-2828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number222595
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number222595
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: